制度抑或文化:中国患者信任的影响因素及其演变趋势  

Institutional or Cultural: Factors Influencing Patient Trust in China and Its Evolution

作　　者：池上新[1] Chi Shangxin

机构地区：[1]深圳大学政府管理学院社会学系

出　　处：《社会学研究》2022年第2期137-160,229,共25页Sociological Studies

基　　金：国家社科基金青年项目“医患信任的社会影响因素及其干预研究”(项目编号:18CSH040)的支持。

摘　　要：本文基于CSS2013和CSS2017的数据,从制度主义和文化主义的视角分析了中国患者信任的影响因素及其演变趋势。研究发现:第一,就诊满意度、医保满意度、医疗安全、医疗公平等制度因素对患者信任具有重要的正向影响,但这种效应未呈现强化趋势。第二,一般人际信任、权威型价值观、关系就医等文化因素对患者信任也有显著作用,但呈现不同的演变趋势。第三,相比文化因素,制度因素的作用更大。总之,制度理性和社会文化二者共同影响当前的患者信任,应重视制度因素,但也不宜忽视文化的长期作用,尤其要警惕关系就医的负效应。Based on data from China Social Survey 2013 and 2017,this paper analyzed the influencing factors of patient trust and its evolutionary trends in China from the perspectives of institutionalism and culturalism. It was found that,first,institutional variables such as satisfaction with medical consultation,satisfaction with medical insurance,medical safety,and medical equity had a significant positive effect on patient trust,but this effect did not show an intensifying trend. Second,cultural variables such as general interpersonal trust,authority-based values,and relational access to care also had a significant effect on patient trust,but showed different trends of evolution. Third,the role of institutional variables was greater than that of cultural variables. In conclusion,both institutional rationality and social culture jointly influence current patient trust,and institutional variables should be emphasized,but the long-term role of culture should not be neglected,especially the negative effect of relational access to care should be guarded.

关 键 词：患者信任 制度主义 文化主义 关系就医 演变趋势 

分 类 号：G0[文化科学] R-05[医药卫生]